Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.12 / $3,500.00 / $17,225.00	Facility		$1,483.12	$3,500.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.12 / $1,571.33 / $1,777.58	Professional		$1,483.12	$1,571.33	$1,777.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,209.00 / $10,923.00 / $20,184.00	Facility		$4,209.00	$10,923.00	$20,184.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,241.20 / $1,551.50 / $2,090.17	Professional		$1,241.20	$1,551.50	$2,090.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,422.06 / $1,903.79 / $2,879.67	Facility		$1,422.06	$1,903.79	$2,879.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,422.06 / $1,777.58 / $2,559.71	Professional		$1,422.06	$1,777.58	$2,559.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $1,260.00 / $2,126.90	Facility		$880.00	$1,260.00	$2,126.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.10 / $1,647.85 / $2,755.87	Professional		$1,140.10	$1,647.85	$2,755.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,029.00 / $7,818.00 / $11,038.00	Facility		$2,029.00	$7,818.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.05 / $1,612.27 / $3,060.08	Professional		$1,246.05	$1,612.27	$3,060.08